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本文报道我院应用超声检查经手术病理和腹腔镜证实的73例结核性腹膜炎的结果。探讨声像图特点及诊断价值。结果:超声诊断符合61例,确诊率为83.7%。声像图分三型:(1)腹水型33例。(2)光团型15例。(3)混合型25例。讨论中指出结核性腹膜炎在病理上分为渗出型、粘连型、干酪型。三种不同病理变化形成了三种不同的声像表现。腹水型的病理基础是渗出型,有其独特的声像特点.应与肝硬化腹水鉴别。花团型的病理基础为粘连型,此型最易误诊。混合型的特点是液实并存,其病理基础是干酪型。本病术前误诊率为15~47%,本组B超确诊率为83.7%,是诊断本病的安全可靠简便的方法。
This article reports the results of 73 cases of tuberculous peritonitis confirmed by operation and pathology and laparoscopy in our hospital. Discuss the features and diagnostic value of sonography. Results: 61 cases were diagnosed by ultrasound and the diagnosis rate was 83.7%. Three types of sonography: (1) 33 cases of ascites. (2) light group type in 15 cases. (3) 25 cases of mixed type. Discussion pointed out that tuberculous peritonitis in the pathology is divided into exudative, adhesions, cheese type. Three different pathological changes formed three different audio and video performance. Ascites-based pathological exudative type, with its unique sound features should be identified with cirrhosis and ascites. The flower-based pathological basis for adhesion type, this type is the most easy to misdiagnosis. Hybrid is characterized by the liquid coexist, the pathological basis is the type of cheese. The preoperative misdiagnosis rate was 15 ~ 47%, the group B diagnostic rate of 83.7%, is safe, reliable and easy to diagnose the disease.